| NPI | 1508868589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 21854) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 21854) |
| 103TC0700X Psychologist, Clinical (Licence: OR 1285) | |
| 103TC0700X Psychologist, Clinical (Licence: CO 0005631) | |
| 133N00000X Nutritionist | |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2022-11-04 |